Application for Bajaj Allianz
Kindly fill in the form below meticulously and with attention to detail. Filling up of the form will confirm your registration.
Email address *
Name *
Contact Number *
Permanent Address *
Course *
Year of Graduation *
Marks Secured - 1st Year of College *
Marks Secured - 2nd Year of College *
Marks Secured - 3rd Year of College
Marks Secured - 4th Year of College
Year of Passing - 10th Exam *
Percentage of Marks - 10th Exam *
Year of Passing - 12th Exam *
Percentage of Marks - 12th Exam *
Failures after 10th Exam (If any)
Languages Known (read, write, and speak) *
Physical Disabilities, if any
Diseases suffering from, if any
Whether willing to serve at any location in India and is ready for transfers *
Preferable Locations (Any 3) *
Attach CV *
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